co-occurrence

共现
  • 文章类型: Journal Article
    同胞物种之间的时空关联支撑了生物相互作用,结构生态组合,维持生态系统的功能和稳定。然而,种间时空关联对人类活动的复原力仍然知之甚少,特别是在山区森林中,人为影响通常很普遍。这里,我们将上下文相关的联合物种分布模型应用于喜马拉雅东部全球生物多样性热点的系统相机陷阱调查数据集,以了解山区森林中突出的人类活动如何影响陆地哺乳动物群落中的物种关联。在43,163个相机天的努力中,我们从322个站点获得了10,388个独立的17个重点物种(12个食肉动物和5个有蹄类动物)的独立检测。我们发现,与人类修饰水平较高(87%)和人类存在(83%)的栖息地相比,人类修饰水平较高(64%)和人类存在(65%)的栖息地的正相关发生率更高。我们还发现,在人类干扰水平增加时,成对相遇时间显着减少,对应于物种对之间更频繁的相遇。我们的发现表明,人类活动可以将哺乳动物推到更频繁的相遇和联想中,这可能会影响野生动物的共存和持久性,具有潜在的深远的生态后果。
    Spatial and temporal associations between sympatric species underpin biotic interactions, structure ecological assemblages, and sustain ecosystem functioning and stability. However, the resilience of interspecific spatiotemporal associations to human activity remains poorly understood, particularly in mountain forests where anthropogenic impacts are often pervasive. Here, we applied context-dependent Joint Species Distribution Models to a systematic camera-trap survey dataset from a global biodiversity hotspot in eastern Himalayas to understand how prominent human activities in mountain forests influence species associations within terrestrial mammal communities. We obtained 10,388 independent detections of 17 focal species (12 carnivores and five ungulates) from 322 stations over 43,163 camera days of effort. We identified a higher incidence of positive associations in habitats with higher levels of human modification (87%) and human presence (83%) compared to those located in habitats with lower human modification (64%) and human presence (65%) levels. We also detected a significant reduction of pairwise encounter time at increasing levels of human disturbance, corresponding to more frequent encounters between pairs of species. Our findings indicate that human activities can push mammals together into more frequent encounters and associations, which likely influences the coexistence and persistence of wildlife, with potential far-ranging ecological consequences.
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  • 文章类型: Journal Article
    ADHD和ASD是高度遗传性的,并且在成年期表现出很高的共现和持久性。这项研究旨在确定产前和围产期的危险因素,以及与多动症后期诊断相关的早期社会心理暴露,ASD,以及它们的共同发生。16,365名1997-1999年出生的儿童及其家庭,参与了基于人群的前瞻性ABIS研究(瑞典东南部的所有婴儿),纳入本子研究。从出生时的父母问卷调查和1年随访中收集了产前和围产期因素以及早期环境心理社会暴露。2020年从瑞典国家诊断登记册获得了从出生到23岁的诊断。ADHD的累积发病率,ASD,它们在ABIS队列研究中的发生率为4.6%,1.7%,1.1%,分别。男性与多动症的风险增加有关,ASD,和它们的共现(分别为1.30、1.56和1.91),而较高的家庭收入降低了它(aOR0.82、0.73和0.64)。怀孕期间的严重生活事件(aOR1.40)和母亲吸烟(aOR1.51)增加了ADHD的风险,而母亲年龄较大(aOR0.96),较高的父母教育(aOR0.72母亲和aOR0.74父亲)和较长的纯母乳喂养(aOR0.72)减少了它。非瑞典父系国籍(aOR0.40)和较高的母亲教育(aOR0.74)与ASD的风险较低相关。而自身免疫性疾病家族史增加了两种疾病同时发生的风险(aOR1.62).获得的结果提示ADHD的病因,ASD,它们的共存与环境心理社会预测因子独立相关。共现似乎与多动症的病因重叠,其中心理社会决定因素有更大的作用,然而,它也受到自身免疫性疾病家族史的独立影响。
    ADHD and ASD are highly heritable and show a high co-occurrence and persistence into adulthood. This study aimed to identify pre and perinatal risk factors, and early psychosocial exposures related to later diagnosis of ADHD, ASD, and their co-occurrence. 16,365 children born 1997-1999 and their families, involved in the prospective population-based ABIS study (All Babies in Southeast Sweden), were included in this sub-study. Pre and perinatal factors and early environmental psychosocial exposures were collected from parental-questionnaires at birth and 1-year follow-up. Diagnoses from birth up to 23 years of age were obtained from the Swedish National Diagnosis Register in 2020. The cumulative incidence of ADHD, ASD, and their co-occurrence in the ABIS-cohort Study were 4.6%, 1.7%, and 1.1%, respectively. Being male was associated with an increased risk for ADHD, ASD, and their co-occurrence (aOR 1.30, 1.56, and 1.91, respectively), while higher household income reduced it (aOR 0.82, 0.73, and 0.64). Serious life events during pregnancy (aOR 1.40) and maternal smoking (aOR 1.51) increased the risk of ADHD, while older maternal age (aOR 0.96), higher parental education (aOR 0.72 maternal and aOR 0.74 paternal) and longer exclusive breastfeeding (aOR 0.72) reduced it. Non-Swedish paternal nationality (aOR 0.40) and higher maternal education (aOR 0.74) were associated with a lower risk of ASD, while a family history of autoimmune diseases increased the risk of the co-occurrence of both disorders (aOR 1.62). Obtained results suggest that the etiology of ADHD, ASD, and their co-occurrence is independently associated with environmental psychosocial predictors. The co-occurrence seems to overlap the etiology of ADHD, in which psychosocial determinants have a larger role, however, it is also independently influenced by a family history of autoimmune diseases.
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  • 文章类型: Journal Article
    背景:疟疾,一种主要的媒介传播疾病,每年在全球造成超过一百万例病例,主要影响最不发达区域的弱势群体。尽管它们具有可预防和治疗的性质,疟疾仍然是全球公共卫生问题。在过去的十年里,印度面临着疟疾发病率和死亡率的显著下降。由于印度承诺到2030年消除疟疾,这项研究检查了十年的监测数据,以揭示西孟加拉邦间日疟原虫和恶性疟原虫疟疾病例的时空聚集和季节性趋势。
    方法:使用黄土(STL)进行季节性和趋势分解,以检测时间序列的季节性趋势和异常。从2011年4月至2021年3月,使用Kulldorff的时空扫描统计数据在区块水平上对两种疟疾病例进行了单变量和多变量时空聚类分析,以检测具有统计学意义的时空聚类。
    结果:从时间序列分解来看,两种疟疾病例都有明显的季节性模式。统计学分析表明,有相当多的高风险间日疟原虫集群,尤其是在北方,中央,和较低的恒河区。然而,恶性疟原虫集中在西部地区,最近向恒河下游平原传播。从多元时空扫描统计中,检测到这两个病例的共现有四个显著的集群,这意味着该地区的疟疾病例负担更大。
    结论:来自时间序列分解分析的季节性趋势表明,西孟加拉邦的间日疟原虫和恶性疟原虫病例均逐渐下降。时空扫描统计数据确定了间日疟原虫和恶性疟原虫疟疾的高风险区块及其共存。两种疟疾类型在研究区域内都表现出明显的时空差异。确定恒河带上新兴的恶性疟原虫疟疾高风险区域表明需要对其空间转移进行更多研究。解决这些不同集群中疟疾传播的驱动因素需要区域合作和战略战略,克服消除疟疾的最后障碍的关键步骤。
    BACKGROUND: Malaria, a prominent vector borne disease causing over a million annual cases worldwide, predominantly affects vulnerable populations in the least developed regions. Despite their preventable and treatable nature, malaria remains a global public health concern. In the last decade, India has faced a significant decline in malaria morbidity and mortality. As India pledged to eliminate malaria by 2030, this study examined a decade of surveillance data to uncover space-time clustering and seasonal trends of Plasmodium vivax and Plasmodium falciparum malaria cases in West Bengal.
    METHODS: Seasonal and trend decomposition using Loess (STL) was applied to detect seasonal trend and anomaly of the time series. Univariate and multivariate space-time cluster analysis of both malaria cases were performed at block level using Kulldorff\'s space-time scan statistics from April 2011 to March 2021 to detect statistically significant space-time clusters.
    RESULTS: From the time series decomposition, a clear seasonal pattern is visible for both malaria cases. Statistical analysis indicated considerable high-risk P. vivax clusters, particularly in the northern, central, and lower Gangetic areas. Whereas, P. falciparum was concentrated in the western region with a significant recent transmission towards the lower Gangetic plain. From the multivariate space-time scan statistics, the co-occurrence of both cases were detected with four significant clusters, which signifies the regions experiencing a greater burden of malaria cases.
    CONCLUSIONS: Seasonal trends from the time series decomposition analysis show a gradual decline for both P. vivax and P. falciparum cases in West Bengal. The space-time scan statistics identified high-risk blocks for P. vivax and P. falciparum malaria and its co-occurrence. Both malaria types exhibit significant spatiotemporal variations over the study area. Identifying emerging high-risk areas of P. falciparum malaria over the Gangetic belt indicates the need for more research for its spatial shifting. Addressing the drivers of malaria transmission in these diverse clusters demands regional cooperation and strategic strategies, crucial steps towards overcoming the final obstacles in malaria eradication.
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  • 文章类型: Journal Article
    抑郁症状和攻击性经常同时发生,这种共存可能会导致更严重的发育问题。然而,目前尚不清楚是否有不同的共现模式。这项研究调查了抑郁症状和攻击性的共同发生模式,并研究了它们的稳定性和人口特征。共有1010名中国青少年(50.6%为女孩;T1的平均年龄=12.54岁,SD=0.42)参加了三年(2019-2021年)的年度调查。除正常组外,还发现了三种不同的共现模式:抑郁-显性共现(13.6%),侵略主导的共现(3.2%),中度共现(6.0%)(T1)。在这些共现模式中,被归类为侵略占主导地位的青少年表现出最不稳定和最频繁的变化,而被归类为抑郁症为主的青少年表现出最大的稳定性。男孩或年轻的青少年更有可能表现出攻击性主导的共现,而女孩或年龄较大的青少年更有可能表现出抑郁症主导的并发性。研究结果表明,观察到的共同发生模式是不同的,并且以侵略或抑郁为主导,这意味着需要有针对性的干预措施。
    Depressive symptoms and aggression frequently occur together, and this co-occurrence may result in more severe developmental problems. However, it is unclear if there are distinct patterns of co-occurrence. This study investigated the co-occurrence patterns of depressive symptoms and aggression, and examined their stability and demographic characteristics. A total of 1010 Chinese adolescents (50.6% girls; mean age at T1 = 12.54 years, SD = 0.42) participated in annual surveys over three years (2019-2021). Three different patterns of co-occurrence were found except for the normal group: depression-dominant co-occurrence (13.6%), aggression-dominant co-occurrence (3.2%), and moderate co-occurrence (6.0%) (T1). In these co-occurrence patterns, adolescents classified as aggression-dominant co-occurrence exhibited the most instability and frequent changes, while adolescents classified as depression-dominant co-occurrence exhibited the most stability. Boys or younger adolescents were more likely to exhibit the aggression-dominant co-occurrence, while girls or older adolescents were more likely to exhibit the depression-dominant co-occurrence. The findings indicate that the co-occurrence patterns observed are distinct and are dominated by aggression or depression, which implies the need for targeted intervention practices.
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  • 文章类型: Journal Article
    这篇综述表明环状RNA(circircRNAs)在结核病(TB)和肺癌(LC)中的作用。专注于发病机理,诊断,和治疗。CircRNAs,一种新发现的非编码RNA,由于其稳定性,已成为各种体液中基因表达和有希望的生物标志物的关键调节剂。当前的综述讨论了circRNA生物发生,由于它们的环形成结构,突出了它们的RNase-R抗性,使它们成为有效的生物标志物。它详细说明了它们在基因调控中的作用,包括拼接,转录控制,和miRNA相互作用,以及它们对细胞过程和疾病的影响。对于LC,该综述确定了影响细胞生长的circRNA失调,运动性,和生存,以及它们作为治疗靶点和生物标志物的潜力。在TB中,它解决了circRNAs对宿主抗结核病免疫反应的影响,建议将其用作早期诊断标记。本文还探讨了TB和LC之间的相互作用,强调circRNAs是双重生物标记,以及鉴别诊断的必要性。结论是没有单一的circRNA生物标志物普遍适用于TB和LC。最终,这篇综述强调了circRNAs在TB和LC中的关键作用,鼓励在这两种疾病的生物标志物识别和治疗开发方面进行进一步研究。
    This review signifies the role of circular RNAs (circRNAs) in tuberculosis (TB) and lung cancer (LC), focusing on pathogenesis, diagnosis, and treatment. CircRNAs, a newly discovered type of non-coding RNA, have emerged as key regulators of gene expression and promising biomarkers in various bodily fluids due to their stability. The current review discusses circRNA biogenesis, highlighting their RNase-R resistance due to their loop forming structure, making them effective biomarkers. It details their roles in gene regulation, including splicing, transcription control, and miRNA interactions, and their impact on cellular processes and diseases. For LC, the review identifies circRNA dysregulation affecting cell growth, motility, and survival, and their potential as therapeutic targets and biomarkers. In TB, it addresses circRNAs\' influence on host anti-TB immune responses, proposing their use as early diagnostic markers. The paper also explores the interplay between TB and LC, emphasizing circRNAs as dual biosignatures, and the necessity for differential diagnosis. It concludes that no single circRNA biomarker is universally applicable for both TB and LC. Ultimately, the review highlights the pivotal role of circRNAs in TB and LC, encouraging further research in biomarker identification and therapeutic development concomitant for both diseases.
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  • 文章类型: Journal Article
    背景:长COVID,一个新出现的公共卫生问题,以SARS-CoV-2感染后的持续症状为特征。这项研究旨在探讨COVID-19后症状学与患者痛苦之间的关系,采用潜在类别分析来揭示症状共现模式及其与痛苦的关联。
    方法:一项横断面研究使用在线调查对来自台湾南部一所大学和附属医院的240名参与者进行。调查量化了由于持续症状引起的困扰,并评估了长型COVID的患病率,症状共现,和潜在的症状类别。潜在类别分析(LCA)确定了不同的症状模式,多元回归模型评估了症状模式之间的关联,苦恼,和人口因素。
    结果:研究发现,80%的参与者经历了长COVID,症状持续三个月以上。患有多种COVID-19感染的个体总体上表现出显着增加(β=1.79),心血管(β=0.61),和神经心理症状(β=2.18),和较高的总痛苦评分(β=6.35)。确定了三个不同的症状学类别:“多样化”,\"轻度\",和“严重”症状。“轻度症状”类别与较低的痛苦相关(-10.61),而“严重症状”类别显示出由于症状引起的痛苦显着增加(13.32)。
    结论:该研究强调了长COVID对个体的重大影响,具有不同的症状模式和相关的痛苦。它强调了多种COVID-19感染对症状严重程度的累积影响,以及量身定制的护理策略的重要性。
    BACKGROUND: Long COVID, an emerging public health issue, is characterized by persistent symptoms following SARS-CoV-2 infection. This study aims to explore the relationship between post-COVID-19 symptomatology and patient distress employing Latent Class Analysis to uncover symptom co-occurrence patterns and their association with distress.
    METHODS: A cross-sectional study was conducted using an online survey among 240 participants from a university and affiliated hospital of southern Taiwan. The survey quantified distress due to persistent symptoms and assessed the prevalence of Long COVID, symptom co-occurrence, and latent symptom classes. Latent Class Analysis (LCA) identified distinct symptom patterns, and multiple regression models evaluated associations between symptom patterns, distress, and demographic factors.
    RESULTS: The study found that 80 % of participants experienced Long COVID, with symptoms persisting for over three months. Individuals with multiple COVID-19 infections showed a significant increase in general (β = 1.79), cardiovascular (β = 0.61), and neuropsychological symptoms (β = 2.18), and higher total distress scores (β = 6.35). Three distinct symptomatology classes were identified: \"Diverse\", \"Mild\", and \"Severe\" symptomatology. The \"Mild Symptomatology\" class was associated with lower distress (-10.61), while the \"Severe Symptomatology\" class showed a significantly higher distress due to symptoms (13.32).
    CONCLUSIONS: The study highlights the significant impact of Long COVID on individuals, with distinct patterns of symptomatology and associated distress. It emphasizes the cumulative effect of multiple COVID-19 infections on symptom severity and the importance of tailored care strategies.
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    文章类型: English Abstract
    目的:探讨中国人群从青春期到成年早期,自我控制与抑郁症状和超重或肥胖并存的关系,并为今后针对不同风险个体的个性化干预提供科学依据。
    方法:来自持续10年的前瞻性队列研究:中国家庭小组研究(CFPS),共纳入608名符合以下纳入和排除标准的儿童和青少年作为研究对象:(1)10至19岁,根据中国标准,在正常体重下,2010年无抑郁症状;(2)有自我控制评分,并在2010年至2020年之间对抑郁症状和体重指数(BMI)进行至少两次测量;(3)每个家庭中唯一或最小的儿童和青少年。抑郁症状与超重或肥胖的共同发生以三种方式定义:随着时间的推移,多个测量结果的抑郁症状标准化评分和BMIZ评分的平均水平均处于较高水平,或基于属于“风险类型”的潜在分类轨迹模型(LCTM)的抑郁症状和BMI随时间的轨迹,或个体在最后一次随访调查中出现抑郁症状和超重/肥胖.使用多项Logistic回归模型来检查自我控制的标准化得分与抑郁症状和超重或肥胖的同时发生之间的关联。
    结果:在调整年龄(岁)后,使用健康个体作为参照组时,自我控制得分与抑郁症状和超重或肥胖的同时发生有关,性别(男/女),地区(城市/农村),每周体力活动持续时间(高/低),父母教育水平(大专或以上学历/高中或以下),父母体重状况(超重或肥胖或不肥胖),和父母的抑郁症状(是否有抑郁症状),无论风险人群的定义如何。具体来说,抑郁症状和超重或肥胖同时发生的风险降低了33%(95CI:14%至48%,基于一段时间内多次测量的平均水平)到78%(95CI:6%到95%,基于抑郁症状和BMI随时间的联合轨迹),每1个标准差(1-SD)增加自我控制评分。此外,抑郁症状为主和超重或肥胖为主的风险降低了25%(95CI:4%至42%,仅基于一段时间内多次测量的平均水平)和21%(95CI:1%至37%,仅基于抑郁症状和BMI随时间的联合轨迹)自我控制评分每增加1-SD,分别。根据世界卫生组织(WHO)标准定义个体体重状态的敏感性分析结果与我们的主要发现一致。
    结论:从青春期到成年早期,自我控制评分较高的个体出现抑郁症状和超重或肥胖的风险较低,这表明,未来可以根据自我控制评分对抑郁症状和超重或肥胖的同时发生进行个性化干预。
    OBJECTIVE: To explore the association between self-control and the co-occurrence of depressive symptoms and overweight or obesity from adolescence to early adulthood in the Chinese population, and to provide a scientific basis for personalized interventions targeting individuals with different risks in the future.
    METHODS: From a prospective cohort study that lasted for 10 years: The China family panel studies (CFPS), a total of 608 children and adolescents meeting the following inclusion and exclusion criteria were included as study subjects: (1) Aged 10 to 19 years, at normal weight according to Chinese standards, and without depressive symptom in 2010; (2) Had self-control scores, and with at least two measurements of depressive symptoms and body mass index (BMI) between 2010 and 2020; (3) The only one or the youngest child and adolescent from each family. The co-occurrence of depressive symptoms and overweight or obesity was defined in three ways: Both of the average level of standardized scores of depressive symptoms and BMI Z-scores across multiple measurements over time were at a high level, or both of the trajectories of depressive symptoms and BMI over time based on the latent classification trajectory model (LCTM) belonging to the \"risk-type\", or individuals had depressive symptoms and overweight/obesity at the last follow-up survey. The multinomial Logistic regression model was used to examine the association between standardized scores of self-control and the co-occurrence of depressive symptoms and overweight or obesity.
    RESULTS: The score of self-control was associated with the co-occurrence of depressive symptoms and overweight or obesity when using healthy individuals as the reference group after adjusting for age (years), gender (male/female), area (urban/rural), weekly physical activity duration (high/low), parental education level (college or above/high school or below), parental weight status (overweight or obese or not), and parental depressive symptoms (with depressive symptoms or not), regardless of the definition of the risk population. Specifically, the risk of co-occurrence of depressive symptoms and overweight or obesity was reduced by 33% (95%CI: 14% to 48%, based on the average level across multiple measurements over time) to 78% (95%CI: 6% to 95%, based on the joint trajectories of depressive symptoms and BMI over time) per 1-standard deviation (1-SD) increase in self-control score. In addition, the risk of depressive-symptom-dominant and overweight-or-obesity-dominant was reduced by 25% (95%CI: 4% to 42%, only based on the average level across multiple measurements over time) and 21% (95%CI: 1% to 37%, only based on the joint trajectories of depressive symptoms and BMI over time) per 1-SD increase in self-control score, respectively. The results from sensitivity analysis that defined individuals\' weight status according to World Health Organization (WHO) standards were consistent with our main findings.
    CONCLUSIONS: Individuals with higher self-control scores from adolescence to early adulthood have a lower risk of co-occurrence of depressive symptoms and overweight or obesity, suggesting that personalized interventions for co-occurrence of depressive symptoms and overweight or obesity can be carried out based on self-control scores in the future.
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  • 文章类型: Journal Article
    Griscelli综合征2型(GS2)和神经纤维瘤病1型(NF1)都是罕见的遗传性疾病,但是在这份报告之前,他们的共存没有被记录。
    我们介绍了一个4岁女孩最初因白化病和免疫缺陷而被诊断为GS2的病例,后来出现NF1,表现为多个咖啡壶斑(CALM)和MRI发现。患者是父母近亲的第二个孩子,早期出现症状,出生时头发银灰色,9个月时出现健康并发症。通过鉴定RAB27A基因中的纯合移码变体来确认GS2,NF1基因中的从头杂合剪接位点突变建立了NF1诊断。她的治疗包括造血干细胞移植和持续监测NF1相关并发症。
    该案例强调了在临床评估中考虑并发罕见遗传病的可能性的重要性,尤其是有进展的或进化的症状学。
    UNASSIGNED: Griscelli syndrome type 2 (GS2) and neurofibromatosis type 1 (NF1) are both rare genetic disorders, but their coexistence has not been documented prior to this report.
    UNASSIGNED: We present the case of a 4-year-old girl initially diagnosed with GS2 due to albinism and immunodeficiency, and later with NF1, manifested by the development of multiple café-au-lait macules (CALMs) and MRI findings. The patient was the second child of consanguineous parents and exhibited symptoms early, with silver-gray hair at birth and subsequent health complications at 9 months. GS2 was confirmed via the identification of a homozygous frameshift variant in the RAB27A gene, and a de novo heterozygous splice site mutation in the NF1 gene established the NF1 diagnosis. Her treatment included hematopoietic stem cell transplantation and ongoing surveillance for NF1-associated complications.
    UNASSIGNED: This case emphasizes the importance of considering the potential for concurrent rare genetic diseases in clinical evaluations, especially with progressive or evolving symptomatology.
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  • 文章类型: Journal Article
    虽然有关于并发自闭症谱系疾病(ASC)和跨性别模态(TGM)的患病率的研究,对这种关联的潜在机制知之甚少。需要洞察力来改善对自闭症患者的治疗。这篇综述概述了关于ASC-TGM链接的理论以及2016年1月至2020年10月发表的支持/反对它们的可用证据。在PubMed中进行了系统的搜索,PsycINFO,WebofScience,还有Scopus.这导致了36项研究,其中确定了15种理论。结果表明,所有理论都缺乏实质性的经验支持。确定了不太可能和有希望的理论。最有希望的理论是那些反对社会规范和削弱性别差异的理论。提供了未来的方向。
    While research on the prevalence of co-occurring autism spectrum conditions (ASC) and trans gender modality (TGM) is available, less is known about the underlying mechanism of this association. Insight is needed to improve treatment of trans autistic people. This review provides an overview of theories on the ASC-TGM link and the available evidence for/against them published between January 2016 and October 2020. A systematic search was performed in PubMed, PsycINFO, Web of Science, and Scopus. This resulted in 36 studies, in which 15 theories were identified. Results indicate all theories lack substantial empirical support. Unlikely and promising theories were identified. The most promising theories were those on resistance to social norms and weakened sex differences. Future directions are provided.
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  • 文章类型: Journal Article
    在社区居住的中国老年人中,抑郁和焦虑症状(CO)并存的患病率及其对感知整体健康的影响尚不清楚。该研究的目的是调查CO的患病率并探讨其对自评健康(SRH)的影响。
    这项研究包括了2018年中国纵向健康长寿调查(CLHLS)浪潮中12301名年龄≥65岁的人,对中国大陆老年人的全国代表性调查。参与者通过流行病学研究中心抑郁量表(CES-D-10)的10项和7项广义焦虑症问卷(GAD-7)接受了面对面的访谈和抑郁症状和焦虑症状的评估。分别。SRH通过自我报告测量。在调整混杂变量后,使用逻辑回归模型来检查CO和SRH之间的关联。
    平均年龄为83.4(SD:11.0)岁,女性为6576(53.5%)。仅抑郁症状(DSO)的年龄和性别标准化患病率为38.6%,仅焦虑症状(ASO)为1.5%,CO为10.8%。与没有抑郁和焦虑症状的人相比,患有DSO或ASO的老年人更可能对SRH产生显著影响.尤其是,CO可能会产生最大的SRH水平下降。
    CO在中国老年人中并不少见。与DSO或ASO相比,患有CO的老年人SRH水平较低的风险增加。老年人应更多关注CO。
    UNASSIGNED: The prevalence of the co-occurrence of depressive and anxious symptoms (CO) and their influence on perceived overall health were not clear in community dwelling Chinese older adults. The aims of the study were to investigate the prevalence of CO and to explore its influence on self-rated health (SRH).
    UNASSIGNED: This study included 12301 individuals aged ≥65 years from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a nationally representative survey of older adults in mainland China. Participants received face-to-face interviews and assessments of depressive symptoms and anxious symptoms via 10-item of the Center for Epidemiologic Studies Depression Scale (CES-D-10) and 7-item Generalized Anxiety Disorder Questionnaire (GAD-7), respectively. SRH was measured by self-reported. A logistic regression model was used to examine the association between CO and SRH after adjusting for confounding variables.
    UNASSIGNED: The average age was 83.4 (SD: 11.0) years and there were 6576 (53.5%) females. The age- and sex-standardized prevalence of depressive symptoms only (DSO) was 38.6%, anxious symptoms only (ASO) was 1.5%, and CO was 10.8%. Compared with those without depressive and anxious symptoms, the older adults with DSO or ASO were more likely to have significant influence on SRH. And particularly, CO was likely to produce the greatest decrement in the level of SRH.
    UNASSIGNED: CO was not rare in Chinese older adults nationwide. The older adults having CO had increased risk for lower level of SRH than having DSO or ASO. More attention should be given to CO among the older adults.
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